Active NPI
Melissa Guerra Rushing, LMFTA, CDPT
- Marriage & Family Therapist
- Vancouver, WA
National Provider Identifier
1083930432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF 60501430
- Practice address
- 1601 E Fourth Plain Blvd
Vancouver, WA 98661-3753 - Phone
- (360) 397-8246
- Fax
- (360) 397-8448
- NPI assigned
- Apr 9, 2010
- Last updated
- Jun 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF 60501430 | WA | Primary |
Addresses
Primary practice location
1601 E Fourth Plain Blvd
Vancouver, WA 98661-3753
Mailing address
1601 E Fourth Plain Blvd
Vancouver, WA 98661-3753
Phone (360) 397-8246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2521 W Walton Ave
Spokane, WA 99205-1570
Phone (561) 221-5696
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF 60501430 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talkspace Wa Psychiatry PC | Current | Accepting new patients | |
| Talkspace Provider Network PA | Current | Accepting new patients |
Locations
2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
- NPI 1508629494
WA
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
- NPI 1639814049
OR
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434672000000",
"number": "1083930432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 E FOURTH PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613753",
"telephone_number": "360-397-8246",
"fax_number": "360-397-8448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E FOURTH PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613753",
"telephone_number": "360-397-8246",
"fax_number": "360-397-8448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRA RUSHING",
"first_name": "MELISSA",
"credential": "LMFTA, CDPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-09",
"last_updated": "2015-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF 60501430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.